A three column spinal fixation implant, including: an anterior cage configured to be disposed in an intervertebral space between adjacent vertebral bodies in a spine of a patient； an anterior plate coupled to the anterior cage； a pair of anterior screws coupled to the anterior cage and the anterior plate and extending posteriorly from the anterior cage and the anterior plate through a portion of one or more of the adjacent vertebral bodies and into or through posterior bony structures of the spine of the patient； a pair of anterior screws coupled to the anterior plate and extending posteriorly from the anterior plate through a portion of one or more of the adjacent vertebral bodies and into or through posterior bony structures of the spine of the patient； a plurality of posterior headbodies coupled to the anterior screws opposite the anterior cage and the anterior plate； and one or more connecting structures coupled to the plurality of posterior headbodies； wherein the three column spinal fixation implant provides structural stability to the spine of the patient across a first anterior column, a second middle column, and a third posterior column thereof.
